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Senior Engineering Manager, Clinical

Parachute Health · U.S. Remote

remotesenior$260,000–$310,000Posted Sep 28, 2026

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About this role

**Parachute Health — Senior Engineering Manager, Clinical** ## About the Role Parachute Health is transforming post-acute care as a leading digital ordering platform for medical equipment and supplies. We connect major health systems, health plans, and suppliers to help patients get the life-saving products they need at home. We’re seeking a **Senior Engineering Manager** to lead **two teams** in our **Clinical Division**. You’ll own the engineering health, delivery, and technical direction of: - the **clinician order pipeline**, and - the **patient continuity experience** These are two connected areas at the center of how clinicians get patients the equipment they need. This is a **multi-team** role managing engineers spanning **mid-level through staff**. You’ll manage day-to-day execution, grow careers, maintain a high performance bar, and partner closely with **Product** and **Design** to keep both teams shipping at a fast, sustainable pace. ## Responsibilities - **Performance Management:** Set a clear, high bar; provide direct, timely feedback; run substantive reviews; build promotion cases; and address underperformance early and fairly. - **Coaching and Growth:** Manage multiple teams with real ownership of career growth and technical development. Develop tech leads and senior engineers who can carry scope independently. - **Team Execution and Delivery:** Own both teams’ goals and roadmap execution. Remove blockers, tighten feedback loops, and protect focus through planning, IPM, PR review turnaround, and work-in-progress discipline. - **AI-Native Engineering:** Improve how effectively teams use AI tooling (agentic coding, repo-native tooling, MCP servers) to accelerate reviews and testing. Be hands-on enough to judge what works and where it breaks down. - **Product and Design Partnership:** Act as the engineering counterpart to two PMs and two designers. Shape scope early, push back when technical cost doesn’t match user value, and keep discovery and delivery aligned. - **Strategic Technical Oversight:** Review Architecture Decision Documents, run pre-launch risk assessments, and ensure the two areas evolve coherently. - **Technical Shaping:** Lead early technical discovery, feasibility analysis, and capacity estimation across both roadmaps. - **Maintain Relevance:** Stay close to the code through regular PR reviews, design discussions, and incident retrospectives. - **Engineering Excellence:** Guide engineering practice across both teams using agile methods, TDD, and robust software design principles. - **Stakeholder Management:** Serve as the primary point of contact for Product, Design, clinical stakeholders, and leadership. ## Requirements - **5+ years** of management experience, including managing more than one team or managing through tech leads - **10+ years** delivering software in a production environment - Proven track record as a performance manager (growing engineers and handling underperformance directly) - Professional experience with **open source programming languages** - Hands-on familiarity with modern **AI development tooling** and experience driving team adoption - **Must reside in the U.S.** ## Nice to Have - Experience in **healthcare**, clinical workflows, or another **regulated** domain - Experience leading teams through a **manager transition** or structural change - Experience operating in a **large shared codebase** with clear domain ownership boundaries ## Benefits - Medical, Dental, and Vision

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